| NPI | 1952478406 |
|---|---|
| Former Name | ERIN SUZANNE GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305202497) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-08-15 |